This transthoracic echo clip shows the right ventricle in response to acute PE with RV stretch and dysfunction, however the apex continues to contract. The radiology report from the patient\s CTPA reads: CT evaluation of the chest demonstrates a ginormous saddle embolus involving both main pulmonary arteries with smaller areas of thrombus extending into all lobes./nThe patient is 37 years old and has a glioblastoma.